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General NPI Number Information
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NPI Number | 1346430774
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Entity Type | Individual
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Provider Name | NUDRAT F AYUB M.D
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Gender | Female
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 08/05/2016
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Provider Practice Location Address
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Address Line | 50 UNION AVE STE 605
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City | IRVINGTON
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State | NJ
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Zip | 07111-3262
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Country | US
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Telephone | 973-351-6000
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Fax | 973-351-6001
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Provider Business Mailing Address
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Address Line | 8 COVENTRY RD
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City | MENDHAM
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State | NJ
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Zip | 07945-1516
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Country | US
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Telephone | 973-351-6000
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Fax | 973-351-6001
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA08288800
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License Number State | NJ
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